Medical record keeping

Innovations

Real-Time, Resident-Specific Medication Information and Alerts, Supported by Medication Safety Teams, Enhance Efficiency and Reduce Medication Errors in Nursing Homes 09/30/09

Real-time, resident-specific medication information and alerts, with support from a medication safety team, enhanced the efficiency of medication administration and reduce medication errors.

Nurse-Led, Unit-Based Quality Improvement Increases Amount of Time Spent With Patients, Reduces Falls and Nurse Turnover 09/02/09

Seton Northwest Hospital continuously designs and tests nurse-led quality improvement projects at the patient's bedside, allowing nurses to be more efficient and spend more time with patients, reducing falls and nurse turnover, accelerating patient discharge, and yielding positive feedback from staff and patients.

Navy Medical Home Clinics, Staffed by Integrated Primary Care Teams and Supported by Web-Based Systems, Improve Screening Rates, Access to Care, and Patient-Provider Communication 08/17/09

Integrated primary care teams in medical home clinics, supported by a Web-based portal and personal health records, provide proactive, coordinated care, leading to higher screening rates, better access to care, and improved patient–provider communication.

Primary Care Nurses Systematically Assess Fall Risk, Provide Real-Time, Easy-to-Use Alerts to Physicians to Facilitate Appropriate Interventions for Those at Risk 08/06/09

Primary care clinic nurses routinely assess the risk of falls in each patient, with real-time, easy-to-use clinical reminders sent to physicians for those at risk, thus allowing the initiation of risk-reduction interventions during the visit.

Round-the-Clock Intensivists Eliminate Ventilator-Associated Pneumonia, Central Line Infections, and Pressure Ulcers in Intensive Care Unit 08/04/09

Intensivists guide care around the clock in two medical–surgical intensive care units, leading to lower length of stay and the near elimination of ventilator-associated pneumonia, hospital-acquired pressure ulcers, and central line infections.

Instant Access to Clinical Information From Other Providers Leads to Reports of Higher Quality and Lower Costs for Medicaid Beneficiaries 06/30/09

An information exchange system enabled clinicians serving Medicaid beneficiaries to immediately access patient-specific hospital discharge, laboratory test, and medication data from other providers, leading to enhanced efficiency and safety and lower costs.

Standardized Order Forms, Reminders, and Prompt Performance Feedback Increase Compliance With Joint Commission Community-Acquired Pneumonia Core Measures 06/04/09

Dartmouth-Hitchcock Medical Center used standardized order forms for diagnostic tests and timely antibiotic administration, reminders on existing admissions/discharge forms for vaccine administration and smoking cessation counseling, and prompt provider feedback to improve adherence to recommended care for patients with community-acquired pneumonia according to The Joint Commission/Centers for Medicare & Medicaid Services Pneumonia Core Measure Set.

System-Wide Quality Improvement Infrastructure Facilitates Adoption of Best Practices and Leads to Better Outcomes 05/11/09

New health system–wide infrastructure facilitates better adherence to recommended practices, lower mortality, and the virtual elimination of code blues.

Automated Phone Counseling Helps Parents of Overweight Children Model and Encourage Appropriate Behaviors, Leading to Meaningful Reduction in Body Mass Index 03/23/09

Parents of overweight children completed a workbook, attended two discussion groups, and received up to 10 recorded, interactive phone messages promoting a healthy diet and physical activity, leading to a marked reduction in their children's body mass index.

Hospital-Based Asthma Educators Train Patients, Providers, and Community Members on Optimal Care, Leading to Fewer Admissions, Emergency Department Visits, and Missed Work Days 02/09/09

Asthma educators help patients, providers, school nurses, childcare providers, pharmacists, and others in the community achieve optimal asthma treatment, leading to fewer hospitalizations, emergency department visits, and missed work days.

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